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,�.E,.,,,,,� APPLICATION FOR <br />°".°` CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />25s-8�45 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL <br />AoonE55 <br />M�IL <br />GITY <br />21P <br />lYPfC1� <br />� <br />❑ PLUMBING ❑ SIGN <br />PI�ONE <br />, i�ii'�')2_ ��.!4 7'7G•:'� <br />GENER�LCONIP�LIOR M�IL�UORE55 Cltt 21P PIIONE �ICENSF• <br />MtCu�NIGICONIRA�t00 MAIL�ODRE55 CIIY 21P PIION[ LICENSE• <br />PWM9�N�iCONIR�CfOR M�ILADORE59 Cltt ZIV PbONE UCENSI� <br />Cr1��1550� WORN - _ <br />iel NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />V�L W ryON 04 WOfiN �COSI OF MAIE BIN�u PL W UBON� <br />� `/S:nr••t.� <br />ucsrn ee woa <br />�) , t .�-- . � r:i P �� e ,. � .. .iL _, _ ... ?� <br />io� ? <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIONAND KNOW THE SAME TO BE TRUEANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOi. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTIUN. <br />SIONATUHEOFCONTRqCTORORAUTMORI2EDAGEN� UATE <br />X <br />AIR <br />EA. <br />THIS PORTION TO BE COMPLETED BY BUILDI�iG DEPT. PERSONNEL <br />�HONf$ElO�CK <br />USLIONE <br />fYPC OF CONSI <br />SItE Of U1116 <br />fIRE SPii�NKLER <br />A�'��UCAl10N�CC BY <br />LOI nitU <br />PLANS <br />SIDE SETB�CK <br />V�CANT SITE <br />OYES ONO <br />�UP NO.OFDWELL <br />M�IG pCC. l01 <br />O NO <br />BV �PPR. FOR I55 <br />PIAN CHECN NUMOER <br />BUILDING <br />PIUMBING <br />MECHANICAL <br />OTHER <br />PENA�TY <br />TOTAL <br />FEES <br />f <br />RELEIPf NO <br />V�LU�TION � FEE <br />